The MRI confirms what the CT scan said. There are two tumors, most likely metastatic cancer - based on E.'s history and the rounded spherical shape. They appear to be a little larger than initially thought; one is approximately 5 cm and one is between 3 and 4 cm. (I think I switched the locations too ... I guess the larger one is in the back.)
The neuro surgeon said that they are large enough to remove, rather than simply biopsy during surgery. The plan would be to remove the larger tumor first and then depending on how things went and what they saw, remove the smaller tumor. It would essentially be two operations within one surgery. After the surgery and pending no complications, E. would be in ICU for 1 to 2 days and another 4 or 5 days in a regular room. The surgeon could perform the surgery as early as next week. (Cyberknife does not appear to be an option because of the size of the tumors.)
E. is hesitant to rush into making a decision. He doesn't want to feel rushed or pressured, and then regret not taking more time to check things out, like we did with the initial diagnosis. He wants to send the MRI to his doctors in Texas for further consultation. While the report can be faxed, the CD of the films must be mailed. There is also a chance he might seek a second opinion with another neuro surgeon here locally.
In the interim, E. is stuck in the hospital. The steroids he is receiving (for the brain bleeding and swelling) are making his blood sugars go all out of whack (like pushing 400). Because of that, he has frequent insulin injections. So, St. Mary's becomes the temporary home away from home.
S.
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